IndividualActive
Brooke Moore, APRN.CNP
NPI 1043791635 · Nurse Practitioner · Bryan, OH
Provider details
- NPI number
- 1043791635
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN.CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 71008662A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
433 W High St
Bryan, OH 43506-1690
Phone: (419) 630-2021
Fax: (419) 630-2022
Approximate (ZIP-level) locationGet directions
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Registry dates
- Enumerated
- 2018-08-22
- Last updated
- 2024-07-01
- Certified
- 2024-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.